Individual provider · Type 1 NPI

Nancy Marie Faller-Shackleton, DMD, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Louisville, KY

NPI number 1720130289 Active

Practice location

3019 Preston Hwy
Louisville, KY 40217-1716

Fax (502) 637-2425

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	6543 (KY)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1720130289

Nancy Marie Faller-Shackleton, DMD, MS's National Provider Identifier is 1720130289, issued on Jan 17, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Louisville, KY. The record was last updated on Jul 8, 2007.